Demir Tolga, Ergenoglu Mehmet Umit, Korkut Ali Kubilay, Tanrikulu Nursen, Demirsoy Ergun
Department of Cardiovascular Surgery, Kolan International Hospital, İstanbul, Turkey.
Department of Cardiovascular Surgery, Bayrampasa Kolan Hospital, Istanbul, Turkey.
Heart Surg Forum. 2016 Dec 1;19(6):E259-E261. doi: 10.1532/hsf.1632.
The anomalous origin of the coronary artery from the pulmonary artery (ALCAPA) is the most common congenital coronary artery anomaly. Up to 90% of patients die during the first year of life. It is unusual for an ALCAPA patient to survive to adulthood. We present a case of an asymptomatic young athlete with ALCAPA, in which the diagnosis was established by echocardiography during pre-participation physical evaluation. The patient underwent surgical closure of the left main coronary artery ostium through the inside of the main pulmonary artery and coronary artery bypass grafting. He was discharged after 6 days and remained well during follow-up visits. We emphasize the importance of echocardiographic examination during pre-participation cardiovascular screening in young athletic populations to avoid sudden death related to ALCAPA.
冠状动脉起源于肺动脉（ALCAPA）是最常见的先天性冠状动脉异常。高达90%的患者在出生后第一年内死亡。ALCAPA患者存活至成年并不常见。我们报告一例无症状的年轻运动员患有ALCAPA，其诊断是在参与运动前体格检查期间通过超声心动图确定的。该患者通过主肺动脉内部对左冠状动脉开口进行了手术闭合，并进行了冠状动脉旁路移植术。他在6天后出院，随访期间情况良好。我们强调在年轻运动员群体参与运动前心血管筛查中进行超声心动图检查的重要性，以避免与ALCAPA相关的猝死。
